Kock pouch

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Pioneered in the 1960s by Swedish surgeon, Nils Kock of the University of Gotteborg, Sweden. Not to be confused with either the Swiss surgeon, Emil Kocher or the German microbiologist, Robert Koch.

The Kock pouch is a continent ileostomy in which a reservoir of ileum can be accessed via a small, one-way valve stoma also created from ileum.[1] The stoma is not spouted, but instead a smaller opening is created to allow a intermittent intubation to allow flow of faeces (and influx of wash or enema).

It is often misspelled as 'Koch pouch', possibly to avoid confusion with a urological procedure.

It has been replaced by restorative proctocolectomy involving J-, W- and S- pouches.

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